Collaborative Improvement & Innovation Network (CoIIN) to Reduce Infant Mortality Secretary’s Advisory Committee on Infant Mortality November 15, 2012 Reem M. Ghandour, DrPH, MPA COIN Coordinator / Senior Public Health Analyst U.S. Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau Office of Epidemiology and Research
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Collaborative Improvement & Innovation Network (CoIIN) to Reduce Infant Mortality Secretarys Advisory Committee on Infant Mortality November 15, 2012 Reem.
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Collaborative Improvement &
Innovation Network (CoIIN) to Reduce Infant
MortalitySecretary’s Advisory Committee on Infant
MortalityNovember 15, 2012
Reem M. Ghandour, DrPH, MPACOIN Coordinator / Senior Public Health AnalystU.S. Department of Health and Human ServicesHealth Resources and Services Administration
Maternal and Child Health BureauOffice of Epidemiology and Research
What is a CoIN?
• A CoIN, or Collaborative Innovation Network, has been described as a team of self-motivated people with a collective vision, enabled by the Web to collaborate in achieving a common goal by sharing ideas, information, and work.1
• Key Elements of a CoIN • Being a “cyber-team” (i.e. most CoIN work will be distance-based);• Innovation comes through rapid and on-going communication across all levels;• Work in patterns characterized by meritocracy, transparency, and openness to
contributions from everyone.
• Adapted to reflect focus on both innovation and improvement yielding a Collaborative Improvement & Innovation Network to Reduce Infant Mortality.
1 Gloor PA. Swarm Creativity: Competitive Advantage through Collaborative Innovation Networks. New York: Oxford University Press, 2006.
Infant Mortality CoIIN: History and VisionStarted in Southern states:
• Born out of January 2012 Infant Mortality Summit in New Orleans, LA for Regions IV and VI as well as previous state-level work by ASTHO and March of Dimes.
Designed to address stated needs :• Support collaborative learning, innovation, and quality improvement efforts to
reduce infant mortality and improve birth outcomes;• Apply evidence-based strategies to reduce infant mortality;• Stimulate action across states, among many partners.
Lifespan: 12-18 months (beginning July 2012) with nation-wide expansion planned.
Developed and implemented in ongoing partnership with ASTHO, AMCHP, March of Dimes, CityMatCH, CMS, and CDC and other public and private partners.
Foci, activities, and outcomes are Team driven.
CoIIN Design Promote
smoking cessation
Expand Interconceptio
n Care in Medicaid
Reduce elective deliveries
Enhance perinatal
regionalization
Promote safe sleep
Strategy Leads (2-3 topical experts)
Data and/or Methods Experts
Staff support (MCHB & Partner Organizations)
State Representatives
Average 30-35 people
Strategy Teams
State Health Officials
MCH staffMedicaid staff
Private partners
Average 7-15 people
State Teams
Common Strategies for Regions IV and VI
Contract Team with expertise in quality improvement + Advisory Panel of Experts
• Establish quality improvement Aims for each Strategy.
Aims
• Identify state-level opportunities to achieve Aims.
Strategies • Select measures to
track progress towards Aims over the next 12-18 mo.
Measures
CoIIN: Work to Date Define Scope and Nature of the Problem
Build and Sustain Cyberteams
Aims & Strategies: Increase Safe Sleep Practices
AIM: Increase infant safe sleep practices by 5% by December 2013 in Regions IV and VI states and reduce disparities in sleep-related infant deaths.
Infant care-giver KAB and practices
Standardized training within provider systems
Strategic alliances
STRATEGIES
Aims & Strategies: Expand Interconception Care
AIM: Modify Medicaid policies and procedures in 5-8 Southern states by December 2013 in order to improve access to and financing of postpartum visits and interconception care
case management for women who have experienced a Medicaid financed birth that resulted in an adverse pregnancy outcome.